Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
Elderwood at Hornell
Hornell, NY · 122 certified beds · Last Life Safety survey February 2, 2024
CMS Certification Number 335691 · first certified January 1988
Ownership
Operated by ELDERWOOD · For profit - Limited Liability company
- Ownership changed April 12, 2016 (change of ownership)from ST JAMES HOSPITAL
Position within NY
6 citations — more than 14% of the 593 certified nursing homes in NY. Compared within NY rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated
The latest survey found 1 citation; the earlier surveys in the window averaged 2.5. With 3 surveys on file this is a direction of travel, not a conclusion.
When is the next survey likely?
Well past the typical window (July 2025 to March 2026), and past the point by which nine in ten NY facilities have been surveyed. This facility’s last Life Safety survey was February 2024. Facilities in NY are typically surveyed 18–25 months after the last one (median 22), measured over 523 consecutive surveys in the last two years of CMS records.
A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured
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Emergency preparedness
2 of the 6 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index
Physical environment (health survey)
2 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 6 Life Safety citations above. The Physical Environment Index
How that compares
Compared with the median facility in NY, and nationally. Surveyors differ markedly between states, so the NY figure is the meaningful one.
| Measure | Citations |
|---|---|
| This facility | 6 |
| Median facility in NY | 13 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| March 22, 2019 | 2 |
| October 7, 2021 | 3 |
| February 2, 2024 | 1 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | 1 | 2024-02-02 |
| K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | 1 | 2021-10-07 |
| K-0916 | Have a battery powered remote alarm panel in a location accessible by operating personnel. | 1 | 2019-03-22 |
| K-0751 | Have restrictions on the use of flammable curtains. | 1 | 2019-03-22 |
| E-0029 | Develop a communication plan. | 1 | 2021-10-07 |
| E-0004 | Develop and maintain an Emergency Preparedness Program (EP). | 1 | 2021-10-07 |
What the citations cover
- Gas, Vacuum, and Electrical Systems Deficiencies 2
- Emergency Preparedness Deficiencies 2
- Miscellaneous Deficiencies 1
- Smoke Deficiencies 1
| Category | Citations |
|---|---|
| Gas, Vacuum, and Electrical Systems Deficiencies | 2 |
| Emergency Preparedness Deficiencies | 2 |
| Miscellaneous Deficiencies | 1 |
| Smoke Deficiencies | 1 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
February 2, 2024 — 1 citation
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | Deficient, Provider has date of correction (March 29, 2024) |
October 7, 2021 — 3 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0004 | Develop and maintain an Emergency Preparedness Program (EP). | Deficient, Provider has date of correction (November 19, 2021) |
| E-0029 | Develop a communication plan. | Deficient, Provider has date of correction (November 19, 2021) |
| K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | Deficient, Provider has date of correction (November 19, 2021) |
March 22, 2019 — 2 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0751 | Have restrictions on the use of flammable curtains. | Deficient, Provider has date of correction (May 31, 2019) |
| K-0916 | Have a battery powered remote alarm panel in a location accessible by operating personnel. | Deficient, Provider has date of correction (May 31, 2019) |
Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.